Pain After Dental Implant Surgery

Michael, a dentist, asks:

I have placed 6 mandibular dental implants last week in a middle aged woman who has adequate bone height and width. The left side of is asymptomatic and healing well. The right side is extremely painful. 

After the anesthesia wore off she immediately began to have pain on her
right side. After 3 days the pain was still severe and I opened the
flap and cleaned the site and irrigated with 3% hydrogen peroxide  to
kill the anaerobic bacteria that I presumed were causing the infection
and inflammation.

One day later, her pain decreased and she told me
that it was the first night that she could sleep without pain. But she
said me that she began to feel a little tingling and throbbing on the
left side of her chin. The throbbing and aching is still going on after
8 days. I have prescribed systemic antibiotics and analgesics and she
reports that the situation has been improving but has not been completely
resolved.

When I look at the panoramic radiography I can clearly see that I am not into the inferior alveolar nerve or mental nerve. What do you think has caused this problem? Have I done something wrong? What can I do now to help this patient?

45 thoughts on “Pain After Dental Implant Surgery

  1. This is addressed to Rhonda
    “Numbness after dental implants” posted in August of this year. What medications are you taking as I am also suffering from a botched dental implant job. Thanks, Rhonda, so glad your feeling better.

  2. Hi Michael,
    Pain after implant placement is a most unsettling experience for the patient first of all and also for the practitioner.There are various causes of post implant pain and you must carefully listen to the patient, examine the patient to define the degree and extent of the pain,examine all your X-rays and scan anew if necesary.Also, recall exactly how you placed the implants and take note of any thing that happened during the surgery that might have caused the pain. In short, do a thorough examination and diagnosis. Discount the various causes of pain as conclusively as you can eg. direct nerve injury which you seem to have discounted. Infection has been treated.Any bone pathology that you may have overlooked. An aberrant nerve? One possible cause could be during the screwing in of the implant, you might have compressed the bone so much so that the resulting physical pressure of the compression and the inflammatory response of the bone may have cause a pressure buildup in the body of the mandible and this pressure on the IDNerve results in pain. Did you drill to the full depth and not overshoot sometimes into the canal? did you widen the implant hole adequately for the implant screwing without excessive torque? Is the bone soft, dense or medium? Remember that the body of the mandible is like a pipe bounded by thick cortical bone that can act a bit like a pressure cooker. The maxilla is more forgiving as the cortical bone cover is more like a sieve and allows pressure buildup to dissipate. Thats why the type of pain you described is almost never experienced in the maxilla after implant placement. Treatment is to take out one of the implants to relieve the intrabony pressure and reinsert it after a week or so once the pressure and pain is resolved.Analgesics provide only transient relief. Pinpoint the cause and treat accordingly. You might have to draw differential diagnoses and treat accordingly.All the best. Regards.

  3. Dear Patty, I am going into my 6th month with this. I am taking a very low dose of Clonazepam, I take 2 a day, one in the morning and another at night. My dr is going to keep me on this for 3 months and then re-evaluate. The medication is a blessing, it lowers the prickling annoying sensations around my chin and lip. I can smile again and it no longer hurts. It also helps me get a good night sleep, before I would wake up if the pillow would touch my chin! Sleep is also important factor for healing. I gently exercise the injured side by chewing, massaging and moving that area in my chin, this provides some relief and circulation. Like exercising a muscle. In the first months be extra gentle with yourself…nerve injury is a slow process. I am THANKFUL FOR THIS WEBSITE, it has been the most supportive and informational site I have seen for Implants! Thank you! On my other side of my lower jaw I had an implant/crown put in too and there were no problems and I am very happy with it. It is beautiful. I really would like to keep this implant and have it crowned one day. Don’t give up healing is so slow.

  4. You may have mixed up your facts, since the pain is on the right side, and throbbing and tingling is on the left side of the chin. Which side is it? I assume you are looking at both sides of the panorex to evaluate IAN canal damage or proximity.

    At this point, you need to qualitative and quantitative analysis of the CN V – mandibular branch of the injured side and compare it with the contralateral side with the following parameters.

    1) Light touch using Von Frey’s Hairs, (65 plastic fibers that bend at different forces),
    2) Two-point discrimination with a boley gauge(with the knowledge of what is normal and abnormal on the cutaneous distribution),
    3) Temperature sensation, using hot and cold,
    4) Outlining the extent of altered or loss of sensation and documentation with photographs.

    Your approach to this dilemma is to rule out simple causes, like implant trauma, which you have, since you state there is no perforation into the IAN canal. Sitting on a patient with numbness without a specialist referral will however almost certainly limit therapy options, time is critical.

    To answer your questions…

    “What do you think has caused this problem?”
    — Its obvious there was some kind of injury to the IAN or the mental nerve as it exits the mandible, otherwise it will not cause sensory changes.

    — infections rarely cause sensory changes, and I wouldn’t recommend debriding procedures with H202, its corrosive and a bleaching agent and when hitting vital structures can cause damage if there is prolonged exposure.

    “Have I done something wrong?”
    — I wouldn’t term it that way. And certainly I would not admit guilt either. Please dont take this the wrong way, I’m sure you are ethical and moral in your practice philosophy, but events can change people’s agenda. Do not alter any records of the patient, any chance you have at winning a litigation case depends on what you do from this point on, not on what you can change. I am not assuming you would do that, but honestly, I’ve seen it more often than not. The truth will come out sooner than later so, document everything you can starting with pre-treatment records and radiographs and patient encounters. I’m sure you are a compassionate and caring dentist, and you tried to improve the patient’s quality of life and to give her the best possible treatment. It is a complication of implant placement in the mandible and is well known. I can not speculate on the circumstances of how the implant was placed and how deep the drill was placed etc… Best thing is to be honest to the patient and be supportive and compassionate while she undergoes further consultation and testing.

    “What can I do now to help this patient?”
    — A referral to an Oral Surgeon with nerve injury experience is strongly recommended, and is the standard of care in the US.

  5. I agree 100% w/ SF OMS but I would add:
    1- if you haven’t ever done the nerve evaluations procedures he recommends ( which are correct), now is not the time, and this is not the case , to do them for the 1st time.

    2ndly, to be blunt, implants are a lot easier to replace than nerves – if you have ANY concern that the implant may be compressing or causing injury to the IAN or mental foramen – remove that sucker ASAP! (or, better still, send it to the OMS, and tell the pt. beforehand that “to be cautious , he may elect to remove the implant, which can be replaced at a later date ” That way you will CYA a little , so your referral will be a collaborative effort, not a hand-off)

  6. I would try a Medrol Dospak along with antibiotics. That will calm down a nerve and reduce the chance for permanent damage. It’s better to start it at the first sign of problems but it can help even after a week or two.

  7. With all due respect,as professionals lets do away with “standard of care in the US” type of nationalistic chauvinism. This is a global blog with people all over the world reading, evaluating and learning, hopefully. Lets nurture a global allofusarebrothersandsistersinthissufferingworld empathy. In the US, you will have access to vonfries hairs or whatever but in many parts of the world there are no such things, so can we be more practical and simple yet useful in our suggestions? No offense meant. Thanks.

  8. Advise Please

    Its been 7 months since I had 2 dental implants placed. 2 days later im numb and in pain
    so the doctor removed an implant that looked way to long I felt a horrible pain as he removed it he then placed a small implant in that space. a week later im still in horrible pain so he removed the back implant and refuse to remove the smaller one that he replaced the 1st
    one with. so now I only have a small implant left.

    In the beginning I had a numb
    chin lips gums and teeth but
    over the last 7 months regained almost all feeling in my chin lips and gums and
    just 3 weeks ago regain back more feeling in my teeth. Im
    wondering if im regaining so much feeling back why is the pain still with me my doctor says its normal that regeneration is going on and it can be painful is he right or just telling me that to make me feel better………
    Pleases help im just so tired of being in pain

  9. Six months ago I had a dental implant put in on my lower left side a molar. The dr put the dental implant too low into my jaw and he backed it out. For 3 months I have been numb and now I am experiencing electric shocking, prickling and uncomfortable sensations. When I bite down on my left side it is pain. The dr that put the implants denies he did anything wrong. Now suddenly there is no paperwork for him to send to the 2nd opinion dr. it suddenly got lost. The expert dr. has determined now that I have Trigeminal neuralgia from the 3rd branch, he also call this the “suicide disease”. He is putting me through tests and working with me on the best possible medications. I feel that there should only be specialized Doctors that put in implants…..This has has changed my life sadly… and now I suffer everyday of my life. Is there someway that implants could only be put in by CERTAIN SPECIAL DOCTORS IN The FIELD OF IMPLANT. It seems like any Tom, Dick or Sherry can do this and they are ruining alot of peoples lives out there.

  10. I had four bone graphs done three weeks ago, the two areas (upper right and left) are feeling great. My lower right are is hurting (aggravating ache) most all the time. The area to me feels swollen, but really is not. Is this normal, or is this perhaps a sign that the bone graph is not taking? Any info would be greatly appreciate.

  11. Same thing happened to my patient after extraction of a fractured tooth (#22) and immediate implant placement. After 2 weeks – Pt. was still in extreme pain (Pt. given Naproxen 500mg and Clindamycin – which helped) Pt. was then given a Medrol Dose pack and Metronidazole – pain was almost completely eliminated within a week and after 4 months Pt. is no longer experiencing any discomfort.

  12. With these symptoms, and after being sure that you have eliminated any infection, IMO you need to remove the implants that could be causing the paraesthesia/dysthaesia symptoms. This will give the nerve the best chance to heal.
    Remember that the IDN can be very variable in its anatomy and pranging any anterior loop is a real risk, even if any x-ray doesn’t suggest this.

  13. i have had dental implants on the right lower jaw several weeks ago

    post op after one week i could not feel my bottom lip on the right side and i had numbness and burning all down the chin area

    post op week two the same complaints – at that time a panoramic xray was taken and revealed that one of the implants was too close to the nerve and removed

    one month later after several days of cortizone and antibiotics no imporvement

    my question is – is it customary to have a panoramic xray after the implant is implanted the same day ??

    if i had undergone that xray post op week one would i have not had this much discomfort ??

    i am very uncomfortable every day since

    please respond !!!

  14. To answer the last queries

    I would suggest that it is not necessary to take x-rays after having implants placed, unless a problem is perceived.

    Secondly, I don’t believe having an x-ray done immediately after the implants were placed would have helped your situation. The damage to the nerve that you are experiencing was most likely done during the drilling part of your treatment, before the implants were inserted.

    Nerve repair, as you now doubtless know, takes a long time – many months and sometimes years. If you have partial sensation or a tingling/hot/burning/cold feeling then this is generally a good prognostic sign.

    Hope this helps.

  15. It is 2:13AM, I am lying awake for the 4th night in a row after my implant surgery (#18 & #19) with throbbing pain in my jaw, ear, and temple. #17 was extracted at the same time; there is no sign of dry socket or infection; no numbness or tingling, just over-the-top pain (this, coming from a person who has a pretty high tolerance).
    Why?? The resident taking calls in the ER recommends I see my Dr. Mon., over 30 hrs. from now; should I be seen sooner?

  16. i just my 2 implants in my right molar last feb 2, it will be 9 days already and i still ahve numbness on my right lip n chin..pain is not taht severe unless you put pressure to it but sometimes i feel some tingling sensation. I saw my dentist last thurs feb 8, the xray shows the implant was in teh proper site without touching the nerve area.. my next appointment will be on feb 15.. i hope this is irreversible and what else aside from the mentioned treatment is needed.. thanks..

  17. There is a probability of some kind of trauma (direct or indirect)to the neurovascular bundle, if you are still feeling pain plus a tingling sensation.The cause may be some kind of overdrilling or even the installation stress of inserting a self-tapping implant that may have in-fractured the roof of the canal and caused hematoma and pressure inside the canal.The best way to make sure, is getting a post-operative CT scan and not just rely on a two dimentional x-ray.

  18. Hi my name is lisa Im 43 my post is above
    its now 11 months since I had Implants destroy my
    life I have regained alot of feeling about 85%
    in lips chin gums and teeth It just been so hard since feb the pain has gone from my teeth to gums and now my lip which is killing me. Tomorrow im
    having my doctor do a procedure where she sticks
    medicated swaps up my nose it help reduce pain we
    hope. The question is why wont the pain leave
    please someone respond ……….Please

  19. Dear Lady, my humble experience tells me that taking 50 mgs carbamazepin every night before going to bed and at least for sixty days will help a lot when the patient is suffering from both pain and numbness.In those cases that the patient feels some chronic dull pain at the implant site but there is no explanation nor radiographically neither clinically,prescription of antihistaminics have been very helpful.

  20. I had 2 implants placed 11 days ago. When the doctor made the first incision into my gum at tooth #19 and #20 site, I felt a SEVERE DEEP EAR PAIN!!! The pain didn’t diminish, and during the procedure, I told him that it was still hurting–my ear, that is. Why did this happen? Why did I feel ear pain, and MOST OF ALL, WHY IS MY EAR STILL HURTING AFTER 11 DAYS??? PLEASE HELP, THE EAR PAIN IS DRIVING ME CRAZY, MAKING ME DIZZY, AND SICK TO MY STOMACH–like a bad ear infection, but I don’t have one! Thanks!!!

  21. Is it only pain or you’ve got trismus too? It seems that perhaps something happend inside your T.M.J. I strongly recommend you to be visited by an oral and maxillofacial surgeon.

  22. I had a dental implant done in January, about 70 days ago. I had no pain whatsoever, until today when I started feeling a pressure on the implant site and then pain (a 3-5 on 1 to 10 scale) that is not going away. Went to the dentist, he said it looks good and he took an x-ray (panoramic) and said he could not see anything wrong. However, the pain is still there and this after about 10 weeks of absolutely no problems.
    What can this be, anybody had a similar experience? Thank you.

  23. Has anyone ever heard of a patient getting extreemly sick, near death just after alograph.

    My sister n law is currently in the hospital appearing literly near death. No response from her for the most part. Symptoms appear like Menengitis but the tests are not conclusive.

    She had bone graphs for implants and maybe more, at this time her front teeth are missing while she lays in her hospital bed.

    It is too coincidental to believe her condition is not the result of the oral surgery she received. From the onset of the surgery she had severe headache, which turned to confusion, and a week and a half later she was admitted in to the hospital.

    The week following the procedure she returned to the oral surgeon to tell him of the pain. There was no swelling he said he thought it appeared fine.

    Her first week after surgery was one of confusion, not remembering how to use a phone. Not remembering passwords at work. A week later she could not speak, did not know who her family was and appeared like a caged animal, extremely scared.

    Four days and three nights in the hospital with out a minute of sleep and in the above state of mind. She is now none responsive for the most part and has seizures.

    Still no definite diagnoses after 4 lumbar punctures, 4 MRIs, and a host of other tests.

    Should the dental work be looked at harder in her case. Should it be removed. I did have her ICU doctors call the oral surgeon but Im not sure if they should be looking at removing something and we are of course worried sick.

    She appears today to have brain damage and they are now looking at possible brain surgeries for possible pressure but have not seen any indication on the MRIs for this. This is just awful as she was fine just before the oral graph and has not been the same since.

    My concern is that the doctors are overlooking some thing and should possibly be taking this donor bone or some thing else out of her mouth.

    Please contact me if this is something any one has heard of or has any information on.

    Kjmikich@novell.com (please only serious email)

    Kathy

  24. To answer your question, we need some information about the patient, though the diagnosis may be founded upon some speculations. First of all, we would like to know what kind and how many pain killers have been taken after surgery? Has your sister in law been under any kind of medicine for the treatment of another systemic disease or health condition? Does she have any history of drug abuse? The nature of the allograft is very important, because if it, s been from the bovine origin (cow bone), then the Creutzfeldt-Jacob’s disease can not be ruled out. The stuporous condition of your sister in law can only be explained through some dramatic changes that have happened within her central nervous system whether or not related to oral surgical procedure. With what has been done for her so far, one believes that she is now in good hands. I would like to talk about a brain infection (encephalitis/encephalopathy) or drug overdose, but these diagnoses seem to be very premature by now and especially when we do not have enough data.

  25. I had dental implants on the left lower jaw last Monday, March 26. The teeth impacted are:
    #21, extracted 3 month ago, inserted a 15mm implant
    #20, extracted 3 month ago, inserted a 13mm implant
    #18, extracted on March 26, inserted a 15mm implant, may be with a graphs

    One day post the surgery, I had a swelling face and painful sinus on left side. I was given Motrin and antibiotic then. Now, one week after the surgery, my swelling has almost gone but I still have numbness on my left lip and chin. Sinus pain is still there. I feel pins and needles on my left chin periodically. Please advice whether it is normal and possible reason for numbness. I am worry about the damage to the nerve. Shall I get second opinion from a specialist now or just wait for a few more days/weeks? What kind of specialist I should see if there might be problem with my situation?

    Thank you very much for your response.

  26. Hi. I had 4 Implants all on the lower mandibular. 2 Either side of the chin and one on the left side and another on the rigfht side in the molar area. These have been great now for about a year and a half untill 2 days ago. I bit down hard on a Yorkie bar as chocoholics do!. The next morning I woke up with a pain around my chin and it was as if you have just had a filling and the sensation is starting to come back also when I put my tongue in between my bottom lip and teeth that area is very painfull. I also have intense pain in my left lower side and left ear canal. I have been to see the Dentist this morning 9th April 2007 and his asistant made a scan, well I imagine it was a scan as it was not a normal static xray but a machine that sweeps from left to right around the face. I have to see him at 11 am to see his view. I imagine this is why I am getting so much pain and lack of sensation also to boot I have a nice head cold. Well I hope all you guys get better soon and most of all are out of pain as it is a killer and the nights seem very slow and long.

  27. ok…now I’m scared. After reading all of the above complaints regarding bond graphs and implants.
    I had a tooth extracted that took the dentist 3 hrs to do. He took all the gum, tissue and bone along with the tooth all the way up to the sinus area.
    I made him send me to an oral surgeon due to severe pain not relieved by meds.
    The oral surgeon says I now need total reconstructive surgery and later day the road a possible implant.
    Are there any goods results from bone graphs and implants

  28. I recently had an absessed tooth removed that was the back tooth of a 3-part bridge, with the center tooth being a false tooth. The center (false)tooth was removed as well. This is in my lower right jaw in the back. I am in the healing process now. I would like to have implant or implants for teeth in that area. The tooth where the false tooth was has been gone for 20 years. Will I require a bone graph, or IF there is enough bone where the absessed tooth was, would they be able use that to cover the area where the false tooth was located (or could a bridge be used to connect third tooth to the first tooth of the bridge that is still there)? I have been told that bone graphs frequently fail. If a bone graph has to be done, which type would give me the best chance of success? Although I have had some very good dental work over the years I have also had some extremely bad work and I am gun shy. Thanks for any information or advice you can give me.

  29. First of all, my mom has suffered with trigemimal neuralgia for over 25 years, enduring a microvascular decompression and 2 gamma knife procedures to reduce her ungodly facial pain. I’m too familiar with the horrors of this disease. I had 2 dental implants placed one week ago today (#18,19), the last molar having been pulled last Nov. and completely healed, the second to last pulled at the time of implant. That molar (former root canal)was cracked and infected. I informed my endo. of my fears of getting TN from the procedure and he assured me with the help of Xrays that the trigeminal nerve was no where near the bone into which he had to drill. One week later, inflammation around site and constant dull toothache-type pain, with occasional “zingers” to chin area. These little electric jolts are scaring the hell out of me that I’m now getting TN. I also have tenderness under my jawbone and at the juncture of my upper and lower jaws, temple area and even maxillary sinus area. Went yesterday to rule out dry socket or infection and was told everything was fine and this was just inflammation– saline rinses and warm compresses would help. I’m very frightened because I see the agony my mother has gone through and I don’t want that to happen to me. Is this part of the normal healing process? What should I be looking for?

  30. I HAD BONE GRAFTS DONE ON BOTH SIDES OF MY LOWER JAW ONE WEEK AGO. I STILL HAVE NUMBNESS OF MY CHIN ALTHOUGH FEELING IN MY LOWER LIP IS COMING BACK. PLEASE ADVISE IF THIS IS EXPECTED AND HOW LONG WILL IT TAKE TO HEAL.

  31. Implant surgery and proper implant placement is very predictable. There are many studies that prove that in the proper hands implants are very predictable. After any surgery, especially a bone graft, extraction or dental implant there will be some discomfort and collateral nerve sensations that you may not have felt prior to implant surgery. If you are having these sensations 3 months after surgery most likely something may not be going right. If you are having returning sensations to the area that is a good sign, and most likely will end up with a good result. If you as the patients are maintaining the implants with proper oral hygiene, brushing and flossing as instructed by the team of drs you are working with, and you are diligent in doing so, implants are the most effective way to replace lost or missing teeth. We have a few cases here that feel like there cases are not going well, things will heal well if they are maintained properly on your part and done properly on the part of the surgeon. Consider the success of 98% of the cases depending on the case and you should not panic. If you lost your teeth to periodontal disease or neglect in the past, the doctors working on your case are just trying to get you functional and esthetic again. Most of us have very high success rates and are constantly providing patients with the enormous benefits of dental implants and correcting the detrimental effects of missing teeth and giving patients back their ability to chew their food and not be self conscious about their smiles. Dental implants work very well and that are properly diagnosed and executed are changing peoples lives on a daily basis. drwillardsen.com
    John Willardsen, DDS

  32. Michael,

    I would put the patienton Dextamethozone 1.5 mg, #6, 2 stat, and 2 in 24hr, 2 in 48 hr.
    That woug get rid of all patients symptoms, and possible infamation.

    Next, I would have her do a CT of the area, and let the imaging center know that you are looking for any canal trauma, or perforation lingually.

    If the results were positive, take the implant that is causing the problem out, and replace with a shorter implant with apical bone graft.

    You are going to be all right, and do not over treat to cure this simple issue that can happen to anyone.
    My contact: dnourishad@aol.com

  33. I had a bone graft done on the lower left side in March 2007. I never got feeling back in my lower lip, chin and jaw. Six months later my oral surgeon inserted two implant posts. I continue to have tinging, burning sensation in my lower lip, chin and jaw. The surgeon claims there is no damage…he wasn’t any where near the nerve during surgery, although he could see the nerve. He says it will eventually get better, but it’s been 7 months now. I’m supposed to start restoration in January and was told not to worry. Everything is “probably” just fine. After reading the posts on here, I’m wondering if my dentist is in denial, as he seems to shrug off what I’m telling him. He says he’s done too numerous to count procedures and 100% of his patient’s feeling comes back. Should I trust him and continue to wait for things to feel “normal” again? Is it already to late?

  34. I am 17 years old and i had implants put in on the top and just had two bottom put in 4 days ago. I can push against the bottom right one with no pain but if i push against the bottom left it hurts pretty bad. The bottom right looks perfectly fine but the bottom left you can actually see the top of the implant and there is like white stuff on top of my gum. The white stuff is not growing ontop of the implant but infront of it closer to my mouth opening. What i am trying to figure out is if i am going to have to have the implant removed? When i had my other three done the gum healed right over but with this one it is not?

  35. I had 4 upper (left side-rear) implants done 6 days ago along with a bone graft and sinus lift. I was put on clindomycin. The pain has been excruciating, considering i have been taking 8 painkillers a day………………………although the pain is slightly lessened; i still get up during the night in agonizing pain and have to take 2 painkillers……………when is relief in sight and how long does it take till things settle down; fortunately; the entire procedure was done at once including the abutements in place so it is up to the dentist in 6 months to do the prosthetics.

  36. Last Wednesday I had my 4th implant in 12 months. This last one was #26. (still have #10 to do and I am finished)

    The OS had a hard time deadening the area. He used carbocaine plain as I was told I could not sue anything with EPI )per heart doctors) These injections wore off within 3 minutes and some areas never got anesthesized. We thought we had had a bad lot number. He drilled anyway and labor pains were easier. He could not touch the area. I did so well with implant #11,5 and 30.

    I had some releif the next day (torodol)and tool my amoxcillan and swished with perodex. Fridat night, throbbing pain. I could not even let mashed potatoes touch the area. The lower right jaw is swollen and the right side of my neck is seems swollen as I cannot move it freely.

    I do not want to sound like a woose but I feel awful. Any advice…That tooth (26) was pulled 3 1/2 months earlier before implant. Thanks.

  37. Hello, I had a dental implant on friday the 16th of november. I am in extreme pain, pain killers do not work. I have an appointment tomorrow with my oral surgeon. I talked to him over the phone and he says that it is extremely rare to have that much pain. But I tell you it is extreme. will not stop. Can should I have it removed. will let you know what he says after appointment tomorrow.
    thanks
    Tammy

  38. Your advice PLEASE. My husband had toothaches to the point of having five root canals and the same teeth finally removed. The gum and jaw pain from the extractions lasted a long time. Last year after the pain from the extractions ended, he had two implants. The posts caused him pain for months, but the pain finally subsided and he had the posts crowned. Now, the same pain as when he had his own teeth has returned. He is beside himself. It is a dull, constant ache. The periodontist and the dentist all say everything looks fine. Should he have a catscan or MRI to look for nerve damage? Or, will the pain eventually subside as the nerves adjust or repair? Or, will the implants have to be removed. If so, is that next to impossible and fraught with high risks? Any help will be very, very much appreciated.

  39. Can I still get an implant in an area that has had a perforation?

    What are some general normal symptoms after surgery while implant surgery is healing and what is an average time frame to have the pain?

    How long after an extraction do I have to wait for implant AND how long prior having the crown placed on?

    Will I have nerve pain for a while after the surgery is done?

    How long should I wait prior working out (lifting wts, tennis, cycling class) again?

    Thanks.

  40. Hi,

    My implant surgery was on Friday, and it’s only Monday now so I’m hoping maybe this problem will resolve. But it is not something anyone seems to have heard of. When anything cold gets near the implant site I have terrible pain. Is this normal? Thanks for any info.

  41. Hi …I am supposed to get 2 upper implants..One tooth was removed about 4 months ago and one about 20 yrs ago..Wear a partal..Big problem is I have RSD and wonder if I am a canidate for implants ..or am I only looking for trouble? The pain of RSD is forever and wonder if drilling will make this problem start then in my face?

    If you do get nerve pain.will removing the implants right away take away the pain..as it seems to be nerve damage that I hear people talk about on here and that is what RSD is

    Thanks
    Jackie

  42. I had 3 dental implants in june of this year, the 2 on the right are fine, but the one on my top left has began hurting today. I have a head cold with a lot of congestion. I have not had any problem prior to this. Do you think my implant is pressing on my sinus cavity? What do you think I should do? The pain is like a severe toothache.

  43. January 2007 -root canal possible sinus perforation. Emergency extraction of the upper right tooth by Oral surgeon. Burning pain intensified. Referred to ENT, Cat Scan OK, sent to neurologist MRI OK put on Tegretol, referred back to oral surgeon to place implants. 2 implants upper right, burning continued. Tegretol dd not completely improve pain, but dd cause excessive fatigue and weight gain. Reffered back to ral surgeon. He did a procedure to place material over the snus puncture ( although no one will actually call it a puncture or violation of the membrane integrity) One implant is fine, the other feels raw and on fire. Referred back to neurologist- increased Tegretol. Sent back to oral surgeon. Burning has never been controlled wth NSAIDs or narcotics. Oral surgeon insists that the implants are fine. Referred to perodontist- wanted to contsult with others but never called me back. Went to another periodontist- he said problem is that “cheek tissue” was used to surround the implant and plan was to take tissue from the roof of my mouth and place around the implant. Third periodontist opinion, “something appears to be floating around the implant,but periodontal surgery not needed and implant is ok, referred to another ENT with specialty in implants. Waiting for that appointment until Jaunary 2008 for new dnetal insureance beneft coverage. One year later, $8,000 out of pocket beyond insurance coverage and I still do not have crown on the implants and burning pain is constant. No numbness or tingling. Just burning and pressure. Feels like salt is a raw wound. ANYONE HAVE IDEA of what I can do next. I’m 57 years old in perfect health.

  44. I can ‘t believe I am commenting on here, but I can’t sleep and just read all your posts.

    Long story short… I had my first implant done early in 2007. It was the bottom center tooth (my 2 adult bottom center teeth never came in, so I have had a bridge there for over 10 years. Now, we are trying to put an implant in). I remember soon after that, I was in a lot of pain, which the surgeon said was not common. I don’t remember the exact timeline of events, but a sort-of bubble appeared on the front of the gum. Of course my dentist said he never saw that before and a few month later he pulled out the implant (said there must’ve been an infection). Now, all these months later, we had to wait he said to try again. So, my second surgery was last week. It will be a week tomorrow. The last 2 days I have been in pain… waking up in the middle of the night due to it. I remember this happened last time, just not sure how soon. My surgeon had said this implant would take for sure. I guess I’ll call him tomorrow and see what’s up, but truth is, I can’t bear to think this will fail again. Should I not be in pain a week later? He told me this second operation was second hardest one he’s ever done (the hardest being the first one on me). Something about the space for the implant being very tight. This last operation was supposed to take 40 minutes and it went over 2 hours… for ONE implant. This whole ordeal has been taxing. I’m not sure I trust the guy, but he’s been doing it over 30 years, and came highly recommended. Although, he did want to charge me for the second one, even though the first one failed. I refused, but is that common?
    Any thoughts are appreciated. Thanks, Macky

  45. My wife had a dental implant six days ago. The second day she began having strong headaches upon waking that persisted through the morning. They got worse and eventually developed into what seem like migraines — eye pain, light sensitivity, etc. The pain lessens during the day, returns at night, and is strongest and accompanied by nausea in the morning.

    She’s NEVER experienced a migraine before. At day 5 the doctor prescribed tylenol with codeine. It took the pain away but it still comes back as the med wears off. The doctor says in 25 years he’s never seen migraines caused by implant surgery. We’re not sure right now what the next step is.

    Any thoughts? Thanks.

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